- Spectrum Billing Solutions (Skokie, IL)
- …+ Research and resolve insurance denials + File appeals on denied or underpaid claims + Check claim status on appropriate payor systems and contact insurances ... Revenue Cycle Management + Experience in Behavioral and/or Mental Health billing preferred + Knowledge of Commercial Insurance and Government Payor guidelines +… more
- CVS Health (Springfield, IL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- International (Lisle, IL)
- …to identify risks and opportunities of future experience + Analyze warranty claims data to identify trends, anomalies, and potential cost reduction opportunities + ... advanced Excel skills + Experience with warranty accounting principles and practices preferred + Excellent problem-solving abilities and attention to detail + Strong… more
- After School Matters (Chicago, IL)
- …compliance site visit forms and risk management checklists + Assist with insurance claim inquiries (follow-up with emails, tracking claims , etc.) + Legal ... research and distill facts and key issues + Intermediate Microsoft Excel skills preferred Qualifications: + Must be currently enrolled as a college student or… more
- Highmark Health (Springfield, IL)
- …communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- AIG (Chicago, IL)
- …of your technical expertise. Make your mark as a Forensic Analyst As a claims professional, you are respected for your deep accounting expertise. You balance the ... the quantification and the measurement of commercial business insurance claims . + Work with a team and supervisors and...theory. + 3+ Years of Insurance Loss Analysis experience preferred . + Demonstrate strong knowledge and working experience of… more
- Zurich NA (Springfield, IL)
- …investigates, evaluates, and concludes low exposure, low complexity, mechanical breakdown claims by following established protocols to ensure that claims ... handled in the most efficient, effective way while delivering a customer-centric claims service. Determines causes of failures and reviews specific contract language… more
- HUB International (Chicago, IL)
- …of Pharmacy Benefit Managers (PBMs) to ensure contractual compliance, accurate claims processing, and proper financial management. This role involves in-depth data ... Audits: Plan, execute, and manage all aspects of PBM audits, including claims data analysis, financial reviews, and compliance checks against contract terms.… more
- Kemper (Downers Grove, IL)
- …or Bachelor's Degree Preferred + Understanding of auto coverage for non-standard claims is a plus + Various States experienced with auto claims handling ... professional with the ability to investigate and adjust first-party and third-party automobile claims . We are offering the opportunity to work in a fast-paced and… more
- Zurich NA (Chicago, IL)
- …will work collaboratively across business units including but limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and interpersonal skills to grow and develop relationships with preferred distribution partners in an assigned territory. **Basic Qualifications:** Mid-Senior:… more